Individual provider Active NPI

Amy Kay Milkavich, PSYD

  • Psychologist
  • Louisville, CO
National Provider Identifier
1992991962
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-3540 Issued in CO
Practice address
1017 S Boulder Rd Ste E1
Louisville, CO 80027-2547
Phone
(303) 736-9965
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-3540 CO Primary

Addresses

Primary practice location

1017 S Boulder Rd Ste E1
Louisville, CO 80027-2547

Mailing address

1017 S Boulder Rd Ste E1
Louisville, CO 80027-2547
Phone (303) 736-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-3540COMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1992991962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S BOULDER RD STE E1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272547",
            "telephone_number": "303-736-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S BOULDER RD STE E1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272547",
            "telephone_number": "303-736-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILKAVICH",
        "first_name": "AMY",
        "middle_name": "KAY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY-3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.